Sociotechnical Evaluation of the Safety and Effectiveness of Point-of-Care Mobile Computing Devices: A Case Study Conducted in India

2013 ◽  
pp. 149-166
Keyword(s):  
Mobile Computing ◽  
Point Of Care

scholarly journals Measuring oxygen access: lessons from health facility assessments in Lagos, Nigeria

2021 ◽  
Vol 6 (8) ◽  
pp. e006069
Author(s):  
Hamish R Graham ◽  
Omotayo E Olojede ◽  
Ayobami A Bakare ◽  
Agnese Iuliano ◽  
Oyaniyi Olatunde ◽  
...  
Keyword(s):  
Health Facility ◽  
Point Of Care ◽  
Assessment Tools ◽  
Operating Theatre ◽  
Facility Assessment ◽  
Primary Health ◽  
Primary Health Centres ◽  
Health Centres ◽  
The Cost

The COVID-19 pandemic has highlighted global oxygen system deficiencies and revealed gaps in how we understand and measure ‘oxygen access’. We present a case study on oxygen access from 58 health facilities in Lagos state, Nigeria. We found large differences in oxygen access between facilities (primary vs secondary, government vs private) and describe three key domains to consider when measuring oxygen access: availability, cost, use. Of 58 facilities surveyed, 8 (14%) of facilities had a functional pulse oximeter. Oximeters (N=27) were typically located in outpatient clinics (12/27, 44%), paediatric ward (6/27, 22%) or operating theatre (4/27, 15%). 34/58 (59%) facilities had a functional source of oxygen available on the day of inspection, of which 31 (91%) facilities had it available in a single ward area, typically the operating theatre or maternity ward. Oxygen services were free to patients at primary health centres, when available, but expensive in hospitals and private facilities, with the median cost for 2 days oxygen 13 000 (US$36) and 27 500 (US$77) Naira, respectively. We obtained limited data on the cost of oxygen services to facilities. Pulse oximetry use was low in secondary care facilities (32%, 21/65 patients had SpO2 documented) and negligible in private facilities (2%, 3/177) and primary health centres (<1%, 2/608). We were unable to determine the proportion of hypoxaemic patients who received oxygen therapy with available data. However, triangulation of existing data suggested that no facilities were equipped to meet minimum oxygen demands. We highlight the importance of a multifaceted approach to measuring oxygen access that assesses access at the point-of-care and ideally at the patient-level. We propose standard metrics to report oxygen access and describe how these can be integrated into routine health information systems and existing health facility assessment tools.

PDAs as Mobile-Based Health Information Deployment Platforms for Ambulatory Care

2008 ◽  
pp. 1022-1039
Author(s):  
Jason Sargent ◽  
Carole Alcock ◽  
Lois Burgess ◽  
Joan Cooper ◽  
Damian Ryan
Keyword(s):  
Ambulatory Care ◽  
Health Information ◽  
Point Of Care ◽  
Care Service ◽  
Development Project ◽  
Personal Digital Assistants ◽  
End User ◽  
Care Systems ◽  
A Current

This chapter discusses the broad theme of clinician-centric end-user acceptance toward the adoption of personal digital assistants (PDAs) as mobile-based health information deployment platforms within ambulatory care service settings. Personal digital assistants, ambulatory care, and point of care are defined and the interrelatedness of each discussed. Issues, controversies, and problems such as mapping existing workflows, security, and change management are identified, and solutions are suggested for the process of transforming predominantly paper-based ambulatory care systems into electronic point-of-care (ePOC) systems. A current research and development project, the ePOC PDA project, is used as a case study to highlight discussion points. The purpose of this chapter is to illustrate end-user implications and considerations when introducing ePOC systems into ambulatory care service settings and highlight ways and means of improving future levels of acceptance and support of ePOC systems for clinician end users.

Mobile Cloud Computing Integrating Cloud, Mobile Computing, and Networking Services Through Virtualization

2021 ◽  
pp. 209-226
Author(s):  
Chitresh Verma ◽  
Rajiv Pandey
Keyword(s):  
Cloud Computing ◽  
Mobile Computing ◽  
Mobile Cloud Computing ◽  
Mobile Cloud ◽  
Critical Technology ◽  
Virtualization Technology ◽  
Natural Combination ◽  
And Storage ◽  
Technology Area

Mobile computing is a critical technology area which is actively integrated with field of cloud computing. It is broadly an application of virtualization technology at both ends of client server architecture. The mobile and cloud computing is a natural combination as mobile devices have limited computing and storage capacity, thus to reap the benefits of high end computing, cloud is the answer. Thus, amalgamation of mobile platform with cloud platform is inevitable. This chapter shall deliberate on the various aspects of mobile computing, mobile cloud computing and its relationship with virtualization technology. The detailed integration aspects and virtualization shall be signified through case study and suitable real time examples. The chapter shall envisage a case study, modeling the virtualization in the context of mobile cloud.

Evaluation of two point of care technologies for measuring monoclonal antibody therapeutic-A concentrations in blood

Bioanalysis ◽  
2020 ◽  
Vol 12 (20) ◽  
pp. 1449-1458
Author(s):  
Saloumeh K Fischer ◽  
Kathi Williams ◽  
Ian Harmon ◽  
Bryan Bothwell ◽  
Hua Xu ◽  
...  
Keyword(s):  
Monoclonal Antibody ◽  
Real Time ◽  
Point Of Care ◽  
Turnaround Time ◽  
Monitoring Methods ◽  
Sample Collection ◽  
Time Data ◽  
Serum Samples ◽  
Quick Turnaround Time

Aim: Current blood monitoring methods require sample collection and testing at a central lab, which can take days. Point of care (POC) devices with quick turnaround time can provide an alternative with faster results, allowing for real-time data leading to better treatment decisions for patients. Results/Methodology: An assay to measure monoclonal antibody therapeutic-A was developed on two POC devices. Data generated using 75 serum samples (65 clinical & ten spiked samples) show correlative results to the data generated using Gyrolab technology. Conclusion: This case study uses a monoclonal antibody therapeutic-A concentration assay as an example to demonstrate the potential of POC technologies as a viable alternative to central lab testing with quick results allowing for real-time decision-making.

Outcomes of Introducing a Mobile Computing Application in a Healthcare Setting

2011 ◽  
pp. 235-252
Author(s):  
Liz Burley ◽  
Helana Scheepers ◽  
Barbara Haddon
Keyword(s):  
Mobile Computing ◽  
Point Of Care ◽  
Healthcare Setting ◽  
Aged Care ◽  
Healthcare Sector ◽  
Residential Aged Care ◽  
Successful Implementation ◽  
Care Access ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities

Interest in mobile computing applications has been increasing over the past few years. The healthcare sector has begun recognizing the potential for providing at point-of-care access to applications through mobile devices. However, there are challenges for the successful implementation of mobile computing applications. This chapter explores the implementation of a mobile computing solution in two Australian residential aged care facilities. The chapter compares the results of the implementation with previous studies and outlines a hierarchy of three levels of impact within the two organisations. The chapter furthermore describes the challenges, impacts, and outcomes. Finally it lists some strategies for alleviating some of the difficulties with mobile computing solutions.

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